Abstract
Osteocalcin is an abundant, highly conserved bone specific protein and the serum levels of OC have been used as a biochemical marker of bone turnover. The genetic variation of certain candidate genes impacts osteocalcin levels in the postmenopausal period and may predispose some women to high bone turnover. To identify the genes influencing variation in serum OC levels, we investigated the polymorphisms of Vitamin D, Estrogen α, Parathyroid and Collagen Type I alpha Receptor genes and its association with bone turnover evaluated by serum osteocalcin in postmenopausal women from south India. The polymerase chain reaction-restriction fragment length polymorphism strategy was used to detect the polymorphisms at all the four gene receptors (i.e., for VDR, ERα, PTH and COLIA1) in 300 postmenopausal women from South India. Serum osteocalcin levels were measured by immunoassay (ELISA).The serum osteocalcin levels for the Apa I polymorphisms showed varied results, in which, subjects in the control group with “GG” genotype and the osteopenic group with “TT” genotype of the ApaI polymorphism had a significantly higher serum osteocalcin concentration (p < 0.05). The BstBI-AA group in controls had a significantly higher level of serum osteocalcin, this suggests a higher state of bone turnover in the AA genotype. The outcome of this study proposes the probability of a small impact of the VDR- ApaI (GG) genotype, the VDR-TaqI (TT) genotype and the (AA) genotype of the PTH-BstBI polymorphism indicating a higher rate of bone turnover in the healthy postmenopausal women.
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References
Abdi S, Almiman AA, Ansari MGA, Alnaami AM, Mohammed AK, Aljohani NJ, Alenad A, Alghamdi A, Alokail MS, Al-Daghri NM. PTHR1 genetic polymorphisms are associated with osteoporosis among postmenopausal Arab women. BioMed Res Int. 2021. https://doi.org/10.1155/2021/2993761.
Abdi S, Almiman AA, Ansari MGA, Alnaami AM, Mohammed AK, Aljohani NJ, Alenad A, Alghamdi A, Alokail MS, Al-Daghri NM. PTHR1 genetic polymorphisms are associated with osteoporosis among postmenopausal arab women. Biomed Res Int. 2021;2021:2993761. https://doi.org/10.1155/2021/2993761.
Almeida M, Iyer S, Martin-Millan M, Bartell SM, Han L, Ambrogini E, Onal M, Xiong J, Weinstein RS, Jilka RL, O’Brien CA, Manolagas SC. Estrogen receptor-α signaling in osteoblast progenitors stimulates cortical bone accrual. J Clin Investig. 2013;123(1):394–404. https://doi.org/10.1172/JCI65910.
Aloubaidy R. Osteocalcin level and its association with vitamin D receptor gene polymorphisms (TaqI and ApaI) in Iraqi obese type 2 diabetes mellitus. Int J Sci Res (IJSR). 2017;6:1599–604.
Eastell R, Hannon RA. Biomarkers of bone health and osteoporosis risk. Proc Nutr Soc. 2008;67(2):157–62.
Fernandez C, Tennyson J, Priscilla AS. Osteoporosis and its association with vitamin D receptor, oestrogen α receptor, parathyroid receptor and collagen type I alpha receptor gene polymorphisms with bone mineral density: a pilot study from south Indian postmenopausal women of Tamil Nadu. Biochem Genet. 2022. https://doi.org/10.1007/s10528-022-10197-5.
Garnero P, Borel O, Grant SF, Ralston SH, Delmas PD. Collagen Ia1 Sp1 polymorphism, bone mass, and bone turnover in healthy French premeno pausal women: the OFELY study. J Bone Miner Res. 1998;13(813–817):37.
Garnero P, Borel O, Sornay-Rendu E, Arlot ME, Delmas PD. Vitamin D receptor gene polymorphisms are not related to bone turnover, rate of bone loss, and bone mass in postmenopausal women: the OFELY Study. J Bone Miner Res. 1996;11:827–34.
Griesmacher A, Peichl P, Pointinger P. Biochemical markers in menopausal women. Scand J Clin Lab Investig. 1997;227:64–72.
Han KO, Moon IG, Kang YS, Chung HY, Min HK, Han IK. Nonassociation of estrogen receptor genotypes with bone mineral density and estrogen responsiveness to hormone replacement therapy in Korean postmenopausal women. J Clin Endocrinol Metab. 1997;82:991–5.
Hong EP, Park JW. Sample size and statistical power calculation in genetic association studies. Genom Inform. 2012;10(2):117–22.
Ioannidis JP, Ng MY, Sham PC, Zintzaras E, Lewis CM, Deng HW, Econs MJ, Karasik D, Devoto M, Kammerer CM, Spector T, Andrew T, Cupples LA, Duncan EL, Foroud T, Kiel DP, Koller D, Langdahl B, Mitchell BD, Peacock M, Ralston SH. Meta-analysis of genome-wide scans provides evidence for sex- and site-specific regulation of bone mass. J Bone Miner Res Off J Am Soc Bone Miner Res. 2007;22(2):173–83.
Kalaiselvi VS, Prabhu K, Ramesh M, Venkatesan V. The association of serum osteocalcin with the bone mineral density in postmenopausal women. J Clin Diagn Res JCDR. 2013;7(5):814–6. https://doi.org/10.7860/JCDR/2013/5370.2946.
Kamel HK. Postmenopausal osteoporosis: etiology, current diagnostic strategies, and nonprescription interventions. J Manag Care Pharmacy JMCP. 2006;12(6 Suppl A):S4–28.
Kanis JA, Melton LJ 3rd, Christiansen C, Johnston CC, Khaltaev N. The diagnosis of osteoporosis. J Bone Miner Res Off J Am Soc Bone Miner Res. 1994;9(8):1137–41.
Kelly PJ, Hopper JL, Macaskill GT, Pocock NA, Sambrook PN, Eisman JA. Genetic factors in bone turnover. J Clin Endocrinol Metab. 1991;72:808–13.
Kobayashi S, Inoue S, Hosoi T, Ouchi Y, Shiraki M, Orimo H. Association of bone mineral density with polymorphism of the estrogen receptor gene. J Bone Miner Res. 1996;11(306–311):38.
Li WF, Hou SX, Yu B, Li MM, Férec C, Chen JM. Genetics of osteoporosis: accelerating pace in gene identification and validation. Hum Genet. 2010;127(3):249–85.
Lian JB, Friedman PA. The vitamin K-dependent synthesis of gamma-carboxyglutamic acid by bone microsomes. J Biol Chem. 1978;253(19):6623–6. https://doi.org/10.1016/S0021-9258(17)37956-5.
Liao J, Qin Q, Zhou Y, et al. Vitamin D receptor Bsm I polymorphism and osteoporosis risk in postmenopausal women: a meta-analysis from 42 studies. Genes Nutr. 2020;15:20. https://doi.org/10.1186/s12263-020-00679-9.
Liu L, Webster TJ. In situ sensor advancements for osteoporosis prevention, diagnosis, and treatment. Curr Osteoporos Rep. 2016;14(6):386–95.
Mitchell BD, Cole SA, Bauer RL, Iturria SJ, Rodriguez EA, Blangero J, MacCluer JW, Hixson JE. Genes influencing variation in serum osteocalcin concentrations are linked to markers on chromosomes 16q and 20q. J Clin Endocrinol Metab. 2000;85(4):1362–6. https://doi.org/10.1210/jcem.85.4.6571.
Morrison NA, Yeoman R, Kelly PJ, Eisman JA. Contribution of trans-acting factor alleles to normal physiological variability: vitamin D receptor gene polymorphism and circulating osteocalcin. Proc Natl Acad Sci USA. 1992;89(15):6665–9. https://doi.org/10.1073/pnas.89.15.6665.
Nishimoto SK, Price PA. Secretion of the vitamin K-dependent protein of bone by rat osteosarcoma cells. Evidence for an intracellular precursor. J Biol Chem. 1980;255(14):6579–83. https://doi.org/10.1016/S0021-9258(18)43608-3.
Ralston SH, Uitterlinden AG. Genetics of osteoporosis. Endocr Rev. 2010;31(5):629-662.4.
Rapuri PB, Gallagher JC, Knezetic JA, Haynatzka V. Estrogen receptor alpha gene polymorphisms are associated with changes in bone remodeling markers and treatment response to estrogen. Maturitas. 2006;53(4):371–9. https://doi.org/10.1016/j.maturitas.2005.07.007.
Rivera-Leon EA, Palmeros-Sanchez B, Llamas-Covarrubias IM, Fernandez S, Armendariz-Borunda J, Gonzalez-Hita M, Bastidas-Ramirez BE, Zepeda-Moreno A, Sanchez-Enriquez S. Vitamin-D receptor gene polymorphisms (TaqI and ApaI) and circulating osteocalcin in type 2 diabetic patients and healthy subjects. Endokrynol Pol. 2015;66(4):329–33. https://doi.org/10.5603/EP.2015.0042.
Saoji R, Desai M, Das RS, Das TK, Khatkhatay MI. Estrogen receptor α and β gene polymorphism in relation to bone mineral density and lipid profile in Northeast Indian women. Gene. 2019;710:202–9. https://doi.org/10.1016/j.gene.2019.05.060.
Sapir-Koren R, Livshits G, Kobyliansky E. Genetic effects of estrogen receptor alpha and collagen IA1 genes on the relationships of parathyroid hormone and 25 hydroxyvitamin D with bone mineral density in Caucasian women. Metab Clin Exp. 2003;52(9):1129–35.
Sheehan D, Bennett T, Cashman K. The genetics of osteoporosis: vitamin D receptor gene polymorphisms and circulating osteocalcin in healthy Irish adults. Ir J Med Sci. 2001;170:54–7. https://doi.org/10.1007/BF0316772321.
Sowers M, Jannausch ML, Liang W, Willing M. Estrogen receptorgenotypes and their association with the 10 year changesin bone mineral density and osteocalcin concentrations. J ClinEndocrinolMetab. 2004;89(2):733.
Stewart TL, Ralston SH. Role of genetic factors in the pathogenesis of osteoporosis. J Endocrinol. 2000;166(2):235–45. https://doi.org/10.1677/joe.0.1660235.
Suguna S, Kamble S, Bharatha A. Genomic DNA isolation from human whole blood samples by non-enzymatic salting out method. Int J Pharm Pharm Sci. 2014;6(6):198–9.
Trajkovic K, Perovic M, Tarasjev A, Pilipovic N, Popovic V, Kanazir S. Association of collagen type I alpha1 gene polymorphism with bone mineral density in osteoporotic women in Serbia. J Women’s Health. 2010;19(7):1299–303. https://doi.org/10.1089/jwh.2009.1698.
Willing M, Sowers M, Aron D, Clark MK, Burns T, Bunten C, Crutchfield M, D’Agostino D, Jannausch M. Bone mineral density and its change in white women: estrogen and vitamin D receptor genotypes and their interaction. J Bone Miner Res. 1998;13:695–705. https://doi.org/10.1359/jbmr.1998.13.4.695.
Wilson SG, Reed PW, Andrew T, Barber MJ, Lindersson M, Langdown M, Thompson D, Thompson E, Bailey M, Chiano M, Kleyn PW. A genome-screen of a large twin cohort reveals linkage for quantitative ultrasound of the calcaneus to 2q33–37 and 4q12–21. J Bone Miner Res. 2004;19:270–7.
Zheng HF, Spector TD, Richards JB. Insights into the genetics of osteoporosis from recent genome-wide association studies. Expert Rev Mol Med. 2011;13: e28.
Acknowledgements
The authors express their sincere thanks to Indian Council of Medical Research for funding this work. The authors also sincerely thank the Principal, Lady Doak College and the management for providing the research facilities to carry out this work. The authors would like to place on record their deepest gratitude to Dr. S. Pugalanthi Pandian, Managing Director, Pandian Advanced Medical Centre for being the clinical advisor for this study.
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This work was supported by Indian Council of Medical Research (ICMR) (NO3/1/2/6/SRF/ORTHO/2018-NCD-I).
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CF devised and performed the experiments and data analysis; JT designed and PAS supervised and managed all studies. All the authors contributed towards writing the manuscript.
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Freeman, C., Tennyson, J. & Priscilla, A.S. Genetic variants of vitamin D, estrogen α, parathyroid and collagen type I alpha receptor gene and its influence on circulating serum osteocalcin in postmenopausal osteoporosis: A cohort study. Nucleus (2024). https://doi.org/10.1007/s13237-023-00456-0
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DOI: https://doi.org/10.1007/s13237-023-00456-0